NPI | 1649053471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01293700) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310142-01) |
Enumeration Date | 2023-08-15 |
Last Update Date | 2023-10-31 |